NPI | 1982795209 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN EUGENE BURR Secretary 712-310-4701 |
Organization Subpart ? | No |
Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
251E00000X Home Health | |
Enumeration Date | 2006-09-28 |
Last Update Date | 2024-02-14 |